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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608998
Report Date: 09/02/2022
Date Signed: 09/02/2022 03:07:03 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/02/2022 03:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:CANYON TRAILS AT TOPANGA SENIOR LIVINGFACILITY NUMBER:
197608998
ADMINISTRATOR:SUSAN WEISBARTHFACILITY TYPE:
740
ADDRESS:7945 TOPANGA CANYON BLVDTELEPHONE:
(818) 716-9900
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY:120CENSUS: 91DATE:
09/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Susan WeisbarthTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced annual required visit. LPA met with the administrator and explained the reason for this visit.
LPA began a physical plant tour with administrator Susan Weisbarth from 11-12:30pm

Kitchen: The kitchen appeared clean and appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Cleaning supplies and detergents are stored in a locked closets. A dietitian visits the facility monthly. The daily and weekly menus were posted.
Bedrooms: LPA toured a random selection of resident rooms. All bedrooms were properly furnished and had appropriate bedding and linens. Call signal system was tested and functions properly.
Bathrooms: There were bathrooms in each of the resident rooms. Bathrooms were properly supplied and had functional fixtures. Hot water temperature measured between 117 degrees Fahrenheit.
Common Areas: These included the bistro, dining areas, and TV room. The common areas were clean and had appropriate furniture. Properly labeled medications were locked in the medication rooms; there is a medication room for assisted living and a medication room for memory care. The main laundry area is by the medication room in assisted living. There is a resident laundry room on the second floor of assisted living.
Surrounding Grounds: There was furniture appropriate for outdoor use and no visible hazards. All pathways are clear of obstruction.
Smoke detector and carbon monoxide detectors were observed to be working properly. All required postings were observed to be posted throughout the facility. Upon entry to the facility LPA's temperature was checked and a covid screening was completed. No deficiencies cited.
SUPERVISOR'S NAME: Cassandra HarrisTELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Wendell SmithTELEPHONE: (818) 738-4525
LICENSING EVALUATOR SIGNATURE:
DATE: 09/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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